Tinea Cruris (Jock Itch)

Tinea cruris, commonly known as jock itch, is a superficial fungal infection that affects the groin and inner thighs. This condition is caused by dermatophytes, the same group of fungi responsible for other fungal infections such as ringworm and athlete’s foot. Tinea cruris is characterized by red, itchy rashes in the genital and groin area.

What do I need to know?

You can return to the Mats AFTER 3 days of starting treatment given your rash is improving. 

Signs of improvement include decreased scaling, decrease in redness, improvement of itch, and the rash getting smaller.

When you’re back on the Mats, make sure to keep the area covered with a bandage or wrapped up until it fully clears during your treatment. 

If you continue to have recurrent ringworm and you own pets, then consider taking your pet to the veterinarian to get checked for fungus.

Topical Treatment

Lotrimin Ultra (Butenafine 1%)

Over-the-Counter Medication.

Apply the cream twice daily for 2-3 weeks to the affected area(s).

Side effects may include irritation, burning, and stinging. If you experience significant irritation for a prolonged period of time you may be allergic to the medication.

No – Lotrimin Ultra is a different medication than Lotrimin and Lamisil. Make sure to get the butenafine hydrochloride 1% cream.

Oral Treatment

Fluconazole 150mg

Prescription Medication.

Take one pill twice weekly for 3 weeks. Space out the pills 3-4 days apart. For example, Mon/Thurs, Tues/Fri, etc.

Side effects may include headaches, nausea, abdominal pain, diarrhea, rash, vomiting. If you experience any worrisome side effects stop this medication immediately and seek medical attention.  

Do not drink alcohol while taking this medication. This medication can interact with many other medications –  such as anti-depressants, psychiatric medications, ciprofloxacin, zofran etc. Please check with your primary care physician to make sure there aren’t any concerning interactions. People with prolonged QT should check with their doctor before taking this medication.

Your physician may have prescribed you another medication that isn’t on this page. You can search our site for the prescribed medication in the search bar. Please use the medication as directed – your physician may likely be treating a secondary symptom of your rash.

After two weeks of treatment, follow the link in your email to submit a followup visit for review by your doctor. If you have any questions about your treatment you can email our medical team and reach your physician at [email protected]